Moonlight Valley Medical Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MOONLIGHT VALLEY MEDICAL MASSAGE, LLC

Practice address

102 Moonlight Valley Dr
Ash Grove, MO 65604-8160

Phone

(417) 839-9726

Fax

(417) 263-3099

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katrina Rochelle Chambers, LMT, CMMPNPI 1245964360

Title

Owner

Phone

(417) 839-9726

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katrina Rochelle Chambers, LMT, MMP

  • Massage Therapist
  • Ash Grove, MO
  • NPI 1245964360
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1013790500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MOONLIGHT VALLEY DR",
            "city": "ASH GROVE",
            "state": "MO",
            "postal_code": "656048160",
            "telephone_number": "417-839-9726",
            "fax_number": "417-263-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MOONLIGHT VALLEY DR",
            "city": "ASH GROVE",
            "state": "MO",
            "postal_code": "656048160",
            "telephone_number": "417-839-9726",
            "fax_number": "417-263-3099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 E Sunshine St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658072630",
            "country_code": "US",
            "telephone_number": "417-839-9726",
            "fax_number": "417-263-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOONLIGHT VALLEY MEDICAL MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-839-9726",
        "authorized_official_credential": "LMT, CMMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Martin Gardner, RPH
• Barbara D. Hudson, APRN BC
• Susan M Klotz, FNP-C
• Hailey A Lampley
• Rebecca Lynn Loveland, COTA/L
• David Rivera Jr.
• Lori Leanne Soper, PTA
• Sun Lakes Therapy
• Angela Waterman
• Stiehl C Wilson, B.S., D.C.

• Massage Therapist in Ash Grove, MO
• Providers in Ash Grove, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.